Senate Study Bill 3172 - Introduced
                                  SENATE/HOUSE FILE _____
                                  BY (PROPOSED GOVERNOR BILL)
                            A BILL FOR
1 An Act relating to boards, commissions, committees, councils,
2    and other entities of state government, and including
3    effective date and transition provisions.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
                                         TLSB 5023XL (35) 90
                                         ss/ns
                          S.F. _____ H.F. _____
 1                              DIVISION I
 2     ESTABLISHMENT AND REVIEW OF BOARDS, COMMISSIONS, COMMITTEES,
 3                             AND COUNCILS
 4      Section 1. NEW SECTION. 4A.1 Definitions.
 5      As used in this chapter, unless the context otherwise
 6   requires:
 7      1. “Board” means any board, commission, committee, council,
 8   panel, review team, or foundation of this state.
 9      2. “Committee” means the state government efficiency review
10   committee established pursuant to this chapter.
11      3. “Nonhealth profession” means a profession regulated by
12   this state other than as provided in Title IV, subtitle 3.
13      4. “Regulated health profession” means a profession
14   regulated pursuant to Title IV, subtitle 3.
15      5. “Unregulated health profession” means a profession
16   pursuant to Title IV, subtitle 3, that is not regulated by any
17   entity of this state.
18      6. “Unregulated nonhealth profession” means a profession
19   that is not regulated by any entity of this state and is not an
20   unregulated health profession.
21      Sec. 2. NEW SECTION. 4A.2 Committee —— duties.
22      1. The committee shall carry out the functions provided in
23   this chapter.
24      2. Administrative assistance shall be provided by the
25   legislative services agency.
26      Sec. 3. NEW SECTION. 4A.3 Board reviews.
27      1. The committee shall review the usefulness, performance,
28   and efficacy of each board as provided in subsection 2. The
29   committee shall hold hearings to receive the testimony of the
30   public, the chief executive officer of the board, and any other
31   person deemed necessary by the committee. After completing a
32   review, the committee shall prepare and publish a report of its
33   findings and recommendations as provided in section 4A.4.
34      2. The committee shall establish a schedule for the
35   committee to review each board such that the committee reviews
                                           LSB 5023XL (35) 90
                               -1-         ss/ns                 1/330
                         S.F. _____ H.F. _____
 1   approximately one-fourth of all boards each calendar year.
 2   Each board shall be reviewed once between the calendar years
 3   2025 and 2029, and once every four years thereafter. The
 4   committee may modify the schedule as necessary to facilitate
 5   the efficient administration of the committee.
 6      3. A board that is scheduled for review shall submit a
 7   report to the committee thirty days prior to the date that it
 8   is scheduled for review that includes all of the following
 9   information:
10      a. The board’s primary purpose and its goals and objectives.
11      b. The board’s past and anticipated workload, the number of
12   staff required to complete that workload, and the board’s total
13   number of staff.
14      c. The board’s past and anticipated budgets and its sources
15   of funding.
16      d. The number of members that compose the governing board or
17   other governing entity of the board and member compensation,
18   if any.
19      4. A board subject to review shall bear the burden of
20   demonstrating to the committee a public need for its continued
21   existence. In determining whether a board has met that
22   burden, the committee shall consider all of the following, as
23   applicable:
24      a. Whether continuation of the board is necessary to protect
25   the health or safety of the public, and if so, whether the
26   board’s authority is narrowly tailored to protect against
27   present, recognizable, and significant harms to the health or
28   safety of the public.
29      b. Whether the public could be protected or served in an
30   alternate or less restrictive manner.
31      c. Whether the board serves a specific private interest.
32      d. Whether rules adopted by the board are consistent with
33   the legislative mandate of the board as expressed in the
34   statutes that created and empowered the board.
35      e. The extent to which the board’s jurisdiction and programs
                                           LSB 5023XL (35) 90
                               -2-         ss/ns                2/330
                         S.F. _____ H.F. _____
 1   overlap or duplicate those of other boards, the extent to which
 2   the board coordinates with those other boards, and the extent
 3   to which the board’s programs could be consolidated with the
 4   programs of other state departments or boards.
 5      f. The number of other states that regulate the occupation,
 6   whether a license is required to engage in the occupation in
 7   other states, whether the initial licensing and license renewal
 8   requirements for the occupation are substantially equivalent
 9   in every state, and the amount of regulation exercised by the
10   board compared to the regulation, if any, in other states.
11      g. Whether the board recognizes national uniform licensure
12   requirements for the occupation.
13      h. Whether private contractors could be used, in an
14   effective and efficient manner, either to assist the board in
15   the performance of its duties or to perform the board’s duties
16   in place of the board.
17      i. Whether the operation of the board has inhibited economic
18   growth, reduced efficiency, or increased government costs.
19      j. An assessment of the authority of the board regarding
20   fees, inspections, enforcement, and penalties.
21      k. The extent to which the board has permitted qualified
22   applicants to serve the public.
23      l. The extent to which the board has allowed individuals to
24   practice elements of the occupation without a license.
25      m. The cost-effectiveness of the board in terms of the
26   number of employees, services rendered, and administrative
27   costs incurred, both past and present.
28      n. Whether the board’s operation has been impeded or
29   enhanced by existing statutes and procedures and by budgetary,
30   resource, and personnel practices.
31      o. Whether the board has recommended statutory changes to
32   the general assembly that would benefit the public rather than
33   the individuals regulated by the board, if any, and whether the
34   board’s recommendations and other policies have been adopted
35   and implemented.
                                           LSB 5023XL (35) 90
                               -3-         ss/ns                3/330
                         S.F. _____ H.F. _____
 1      p. Whether the board has required any individuals subject to
 2   the board’s regulations to report to the board the impact of
 3   board rules and decisions on the public as they affect service
 4   costs and service delivery.
 5      q. Whether individuals regulated by the board, if any, have
 6   been required to assess problems in their business operations
 7   that affect the public.
 8      r. Whether the board has encouraged public participation in
 9   its rulemaking and decision making.
10      s. The efficiency with which formal public complaints filed
11   with the board have been processed to completion.
12      t. Whether the purpose for which the board was created has
13   been fulfilled, has changed, or no longer exists.
14      u. Whether federal law requires that the board exist in some
15   form.
16      v. An assessment of the administrative hearing process of
17   the board if the board has an administrative hearing process,
18   and whether the hearing process is consistent with due process
19   rights.
20      w. Whether the requirement for an occupational license
21   is consistent with the principles expressed in section 4A.4,
22   subsection 2, serves the public health or safety, and provides
23   the least restrictive form of regulation that adequately
24   protects the public health or safety.
25      x. The extent to which licensing ensures that practitioners
26   have occupational skill sets or competencies that are
27   substantially related to protecting consumers from present,
28   significant, and substantiated harms that threaten the public
29   health or safety, and the impact that those criteria have on
30   applicants for a license, particularly those with moderate or
31   low incomes, seeking to enter the occupation or profession.
32      y. The extent to which the requirement for the occupational
33   license stimulates or restricts competition, affects consumer
34   choice, and affects the cost of services.
35      z. An assessment of whether changes are needed in the
                                           LSB 5023XL (35) 90
                               -4-         ss/ns                4/330
                         S.F. _____ H.F. _____
 1   enabling laws of the board in order for the board to comply
 2   with the criteria listed in this subsection.
 3      Sec. 4. NEW SECTION. 4A.4 Reports.
 4      1. After completing a review of a board pursuant to section
 5   4A.3, the committee shall prepare and submit a report of its
 6   findings and recommendations by December 21 of each year.
 7   A report may include findings and recommendations for more
 8   than one board. Copies of the report shall be submitted
 9   to the president of the senate, the speaker of the house
10   of representatives, the governor, and each affected board,
11   and shall be made publicly available on the internet site
12   of the general assembly. The committee shall present its
13   recommendations to the general assembly in the form of a bill.
14      2. Recommendations of the committee shall indicate how or
15   whether implementation of the recommendations would do each of
16   the following:
17      a. Improve efficiency in the management of state government.
18      b. Improve services rendered to citizens of the state.
19      c. Simplify and improve preparation of the state budget.
20      d. Conserve the natural resources of the state.
21      e. Promote the orderly growth of the state and its
22   government.
23      f. Promote occupational regulations to increase economic
24   opportunities, encourage competition, and encourage innovation.
25      g. Provide for the least restrictive regulations by
26   repealing current regulations and replacing them with less
27   restrictive regulations.
28      h. Improve the effectiveness of the services performed by
29   the boards of the state.
30      i. Avoid duplication of effort by state agencies or boards.
31      j. Improve the organization and coordination of the state
32   government.
33      Sec. 5. NEW SECTION. 4A.5 Boards and governmental entities
34   —— dissolution.
35      1. Except as provided in subsection 2, an Act of the general
                                           LSB 5023XL (35) 90
                               -5-         ss/ns                5/330
                          S.F. _____ H.F. _____
 1   assembly establishing a board after the effective date of this
 2   division of this Act shall include a dissolution date for the
 3   board not more than four years after the establishment of the
 4   board.
 5      2. An Act of the general assembly establishing a board for
 6   the exclusive purpose of providing advice or recommendations
 7   after the effective date of this division of this Act shall
 8   include a dissolution date of the board not more than two years
 9   after the establishment of the board.
10      Sec. 6. NEW SECTION. 4A.6 State government efficiency
11   review committee established.
12      1. A state government efficiency review committee is
13   established which shall meet as necessary to efficiently
14   review all boards according to the schedule established by the
15   committee pursuant to section 4A.3.
16      2. a. The committee shall consist of one member of the
17   senate appointed by the majority leader of the senate, one
18   member of the senate appointed by the minority leader of the
19   senate, one member of the house of representatives appointed
20   by the speaker of the house of representatives, one member of
21   the house of representatives appointed by the minority leader
22   of the house of representatives, an employee of the office of
23   the governor appointed by the governor, the director of the
24   department of management or the director’s designee, and three
25   members appointed by the governor, at least one of whom serves
26   on a board at the time of appointment.
27      b. Members shall be appointed prior to January 31 of the
28   first regular session of each general assembly and shall serve
29   for terms ending upon the convening of the following general
30   assembly or when their successors are appointed, whichever is
31   later. A vacancy shall be filled in the same manner as the
32   original appointment and shall be for the remainder of the
33   unexpired term of the vacancy.
34      c. The committee shall elect a chairperson and vice
35   chairperson.
                                           LSB 5023XL (35) 90
                               -6-         ss/ns                 6/330
                         S.F. _____ H.F. _____
 1      3. The legislative members of the committee shall be
 2   reimbursed for actual and necessary expenses incurred in the
 3   performance of their duties and shall be paid a per diem as
 4   specified in section 2.10 for each day in which they engaged
 5   in the performance of their duties. However, per diem
 6   compensation and expenses shall not be paid to members of the
 7   general assembly when the general assembly is actually in
 8   session at the seat of government. Expenses and per diem shall
 9   be paid from moneys appropriated pursuant to section 2.12.
10      4. Administrative assistance shall be provided by the
11   legislative services agency.
12      Sec. 7. NEW SECTION. 4A.7 Regulation of unregulated health
13   professions.
14      1. An unregulated health profession shall not be subject
15   to regulation by any entity of this state for the purpose of
16   prohibiting competition but may be subject to such regulation
17   only for the exclusive purpose of protecting the public health
18   or safety. All proposed legislation to create a board or
19   commission to regulate an unregulated health profession shall
20   be reviewed by the general assembly to determine that all of
21   the following conditions are met:
22      a. There is credible evidence that the unregulated practice
23   of the unregulated health profession will clearly harm or
24   endanger the public health or safety and the potential for harm
25   is easily recognizable and not remote.
26      b. The public needs and can reasonably be expected
27   to benefit from an assurance of initial and continuing
28   professional ability.
29      c. The public cannot be effectively protected by other means
30   in a more cost-efficient manner.
31      2. Prior to considering proposed legislation to create
32   a board or commission to regulate an unregulated health
33   profession for passage to the floor of the senate or the
34   house of representatives, a legislative standing committee to
35   which proposed legislation to create a board or commission to
                                           LSB 5023XL (35) 90
                               -7-         ss/ns                7/330
                         S.F. _____ H.F. _____
 1   regulate an unregulated health profession has been referred
 2   shall consider whether the conditions in subsection 1 have been
 3   met. If the committee finds that the conditions in subsection
 4   1 have been met, the committee shall consider whether the
 5   legislation is the least restrictive method of regulation
 6   to address the specific harm or danger identified in this
 7   subsection.
 8      3. The legislative standing committee shall submit its
 9   findings regarding whether the proposed legislation meets
10   the conditions in subsections 1 and 2 to the president of
11   the senate or the speaker of the house of representatives,
12   as applicable, who shall make the findings available to each
13   member of the general assembly on the internet site of the
14   general assembly.
15      4. This section does not allow a person to practice an
16   unregulated health profession if the profession includes
17   practices within the scope of practice of an existing regulated
18   health profession.
19      Sec. 8. NEW SECTION. 4A.8 Proposed regulation of
20   unregulated health professions —— written reports.
21      1. A member of the general assembly introducing proposed
22   legislation to create a board or commission to regulate an
23   unregulated health profession shall submit with the legislation
24   a report, prepared by the legislative services agency,
25   addressing the requirements contained in subsection 2. The
26   report shall be submitted to the president of the senate or the
27   speaker of the house of representatives, as applicable, prior
28   to full consideration of the legislation by the senate or the
29   house of representatives and made available on the internet
30   site of the general assembly.
31      2. The report must address all of the following and identify
32   the source of all information contained in the report:
33      a. Why regulation is necessary, including all of the
34   following:
35      (1) The nature of the proven harm to the public if the